Breakthrough Psychotherapy, Llc | |
301 South Livingston Avenue Livingston NJ 07039-3932 | |
(973) 857-5121 | |
Not Available |
Full Name | Breakthrough Psychotherapy, Llc |
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Speciality | Social Worker - Clinical |
Location | 301 South Livingston Avenue, Livingston, New Jersey |
Authorized Official Name and Position | Annette M Vaccaro (HEALTHCARE PROVIDER) |
Authorized Official Contact | 9738575121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Breakthrough Psychotherapy, Llc 16 Brentwood Drive Verona NJ 07044-2519 Ph: () - | Breakthrough Psychotherapy, Llc 301 South Livingston Avenue Livingston NJ 07039-3932 Ph: (973) 857-5121 |
NPI Number | 1629383120 |
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Provider Enumeration Date | 08/10/2010 |
Last Update Date | 08/10/2010 |
Identifier | Type | State | Issuer |
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1629383120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 44SC05162000 (New Jersey) | Primary |
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